盆底肌肉训练对女性盆底功能障碍性疾病的康复效果及对血清炎症因子的影响  

Rehabilitation effect of pelvic floor muscle training on female pelvic floor dysfunction and its influence on serum inflammatory factors

作　　者：符琳鑫 陈秀芹[2] 

机构地区：[1]郑州圣玛妇产医院,郑州450000 [2]郑州大学第五附属医院,郑州450000

出　　处：《医药论坛杂志》2017年第10期41-43,46,共4页Journal of Medical Forum

摘　　要：目的探讨盆底肌肉训练对女性盆底功能障碍性疾病的康复效果及对血清炎症因子血清C反应蛋白(CRP)、白介素-6(IL-6)炎症因子的影响。方法选取2016年1~6月在郑州圣玛妇产科医院住院分娩并患有女性盆底功能障碍性疾病的患者84例,随机分成研究组(n=42)与对照组(n=42),对照组采用健康教育与产后操锻炼,研究组采用法国PHENIX盆底肌肉康复训练器实施盆底肌肉训练,比较分析两组临床疗效、盆底肌力指标、尿失禁康复情况与性生活质量,以及干预前及干预后的血清CRP与IL-6水平的变化。结果研究组治疗总有效率为92.9%,明显高于对照组治疗总有效率为76.2%(P<0.05)。研究组压力检测指标(产妇阴道静息压与盆底收缩压)、Ⅰ类肌纤维指标(持续收缩压与持续时间)、Ⅱ类肌纤维指标(快速收缩压与收缩个数)均明显优于对照组(P<0.05)。治疗前,两组患者尿失禁与性生活质量情况比较无明显差异(P>0.05);经治疗,研究组产后3个月的尿失禁、性生活质量康复效果均显著优于对照组(P<0.05)。治疗前,两组患者CRP和IL-6水平比较无差异(P>0.05);治疗5周末,研究组患者CRP和IL-6水平均显著低于对照组(P<0.05)。结论盆底肌肉训练对女性盆底功能障碍性疾病的康复效果显著,可以有效促进患者盆底肌力及尿失禁康复,也能提高患者性生活质量,降低患者血清炎症因子水平,值得应用及推广。Objective To investigate the protein recovery effect of pelvic floor muscle training on female pelvic floor dysfunction and response to inflammatory factors in serum C（ CRP）,interleukin-6（ IL-6） effect of inflammatory factors.Methods From January 2016 to June 2016 in our hospital and 84 cases with female pelvic floor dysfunction,were randomly divided into study group（ n = 42） and control group（ n = 42）,the control group used health education and postpartum exercise,the study group using the French PHENIX pelvic floor muscle rehabilitation training device implementation of pelvic floor muscle training,comparative analysis 05 two groups of clinical curative effect,pelvic floor muscle strength index,urinary incontinence rehabilitation and quality of life before and after the intervention,and the changes of serum CRP and IL-6 levels in the prognosis. Results The total effective rate of the study group was 92. 9%,significantly higher than that of the control group,the total effective rate was（ P〈0. 05）. The pressure of study group indexes（ maternal vaginal resting pressure and systolic blood pressure,pelvic floor muscle fiber type） index（ continuous systolic blood pressure and duration）,type II（ fast muscle fiber index of systolic blood pressure and contraction number） were significantly better than those the control group（ P〈0. 05）. Before treatment,no significant difference was found between the two groups of patients with urinary incontinence and sexual life quality（ P〈0. 05）; After treatment,urinary incontinence,sexual life quality rehabilitation group after 3 months was significantly better than the control group（ P〈0. 05）. Before treatment,there was no difference between the two groups in the levels of CRP and IL-6（ P〈0. 05）; On the 5 weekend of treatment,the CRP and IL-6 water in the study group were significantly lower than those in the control group（ P〈0. 05）.Conclusion The rehabilitation effect of pelvic floor muscle training on female pelvic fl

关 键 词：盆底肌肉训练 女性盆底功能障碍 尿失禁 盆底肌力 炎症因子 

分 类 号：R711.5[医药卫生—妇产科学]